# PRIDE HEALTHCARE STAFFING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457869141
- **Authorized official:** MR. ANDREW MANDIBAYA (ADMINISTRATOR)
- **Authorized official phone:** (404) 333-5281

## Contact information

- **Practice address:** 3449 ALLIE DR, SNELLVILLE, GA 30039-7105
- **Practice address phone:** (404) 484-8048
- **Practice address fax:** (770) 686-3109
- **Mailing address:** 3449 ALLIE DR, SNELLVILLE, GA 30039-7105
- **Mailing address phone:** (404) 484-8048
- **Mailing address fax:** (770) 686-3109

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 067-R-1905 | GA | Yes |

## Other

- **Enumeration date:** 01/16/2018
- **Last updated:** 01/16/2018